A nurse in the emergency department (ED) is triaging four clients following a mass casualty event. The nurse should identify which of the following clients as emergent?
A client who has a leg and ankle fracture
A client who reports flank pain radiating to the groin
A client who has a raised red rash on the abdomen
A client who has expiratory stridor
The Correct Answer is D
A. A leg and ankle fracture is serious but typically not life-threatening compared to issues involving airway obstruction or severe bleeding.
B. Flank pain radiating to the groin may indicate a kidney stone or other condition, but it is less urgent than airway obstruction.
C. A raised red rash on the abdomen could be a sign of a less urgent condition, such as a viral infection or allergic reaction, and does not require immediate intervention compared to respiratory distress.
D. Expiratory stridor indicates upper airway obstruction or severe respiratory distress, which is a life-threatening condition requiring immediate intervention. Stridor suggests possible airway compromise, which needs to be addressed urgently to prevent respiratory failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.8"]
Explanation
Infusion rate (mL/hr) = Desired dose (units/hr) / Concentration of nitroglycerin (units/mL)
First, calculate the concentration of nitroglycerin in the IV bag:
- 100 mg / 250 mL = 0.4 mg/mL
Next, convert the desired dose from mcg/min to mg/hr:
- 12 mcg/min 60 min/hr = 720 mcg/hr = 0.72 mg/hr
Finally, plug the values into the formula:
- Infusion rate = 0.72 mg/hr / 0.4 mg/mL = 1.8 mL/hr
Correct Answer is A
Explanation
A. Insulin lispro is a rapid-acting insulin that should be administered 15-30 minutes before a meal to manage blood glucose levels effectively. This timing helps to match the peak action of the insulin with the rise in blood glucose levels after eating.
B. Hypoglycemia from insulin lispro typically occurs within 1-3 hours of administration, not 4 hours later. Regular monitoring during this time frame is more appropriate.
C. An increase in appetite is not a direct result of insulin lispro administration and does not indicate insulin effectiveness or safety.
D. Insulin lispro and insulin glargine should not be mixed in the same syringe as they have different action profiles and pH levels, which can affect their efficacy.
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